Latency Difference Research Articles

Mismatch Negativity Unveils Tone Perception Strategies and Degrees of Tone Merging: The Case of Macau Cantonese

Background/Objectives: Previous studies have examined the role of working memory in cognitive tasks such as syntactic, semantic, and phonological processing, thereby contributing to our understanding of linguistic information management and retrieval. However, the real-time processing of phonological information—particularly in relation to suprasegmental features like tone, where its contour represents a time-varying signal—remains a relatively underexplored area within the framework of Information Processing Theory (IPT). This study aimed to address this gap by investigating the real-time processing of similar tonal information by native Cantonese speakers, thereby providing a deeper understanding of how IPT applies to auditory processing. Methods: Specifically, this study combined assessments of cognitive functions, an AX discrimination task, and electroencephalography (EEG) to investigate the discrimination results and real-time processing characteristics of native Macau Cantonese speakers perceiving three pairs of similar tones. Results: The behavioral results confirmed the completed merging of T2–T5 in Macau Cantonese, and the ongoing merging of T3–T6 and T4–T6, with perceptual merging rates of 45.46% and 27.28%, respectively. Mismatch negativity (MMN) results from the passive oddball experiment revealed distinct temporal processing patterns for the three tone pairs. Cognitive functions, particularly attention and working memory, significantly influenced tone discrimination, with more pronounced effects observed in the mean amplitude of MMN during T4–T6 discrimination. Differences in MMN peak latency between T3–T6 and T4–T6 further suggested the use of different perceptual strategies for these contour-related tones. Specifically, the T3–T6 pair can be perceived through early signal input, whereas the perception of T4–T6 relies on constant signal input. Conclusions: This distinction in cognitive resource allocation may explain the different merging rates of the two tone pairs. This study, by focusing on the perceptual difficulty of tone pairs and employing EEG techniques, revealed the temporal processing of similar tones by native speakers, providing new insights into tone phoneme processing and speech variation.

Association of Evening Eating with Sleep Quality and Insomnia among Adults in a Brazilian National Survey.

Objective To examine the association of evening eating clock time, its elapsed time to the midpoint of sleep (TEM), consumption of caffeine and sugary foods, and reporting dinner as the largest meal with sleep quality indicators and insomnia. Methods Participants ( n = 2,050;18-65y) were part of population-based research, with virtual data collection. Logistic regression models were fitted to assess differences in the ORs(95%CI) of sleep duration < 7 hours, sleep latency > 30 minutes, poor sleep quality, and insomnia (outcomes) with the evening diet-related variables. Linear regression analyses evaluated differences in sleep duration and latency associated with the same variables. Restricted cubic splines were used to study the shape of the association of eating event clock time and TEM with sleep duration and latency. Results Each additional hour of evening eating clock time and of the TEM, respectively increased and decreased, the odds of sleep duration < 7/h [OR(95%CI):1.30(1.20,1.40); OR(95%CI):0.51(0.47,0.56)], sleep latency > 30min [OR(95%CI):1.14(1.07,1.22); 0.88(0.83,0.94)], poor sleep quality [OR(95%CI):1.21(1.13,1.30); 0.80(0.76,0.85)] and insomnia [OR(95%CI):1.12(1.04,1.20); 0.89(0.84,0.95)]. We found a dose-response association between evening eating (clock time and TEM) and sleep duration. The shortest latency was seen when evening eating was ∼20:00 and ∼7-8 hours before the midpoint of sleep. Participants who reported dinner as the largest meal and consumed caffeine and sugary foods/beverages after 18:00 presented higher odds of sleep duration < 7 hours, poor quality, and insomnia. Conclusions Our findings indicate that an early-eating schedule has beneficial sleep effects and that it will be necessary to consider evening eating patterns and timing, along with the existing sleep and circadian hygiene, to improve sleep quality and circadian health.

Self-tuning architecture enabling bidirectional transceiver normalization and low differential latency

Due to having only one working wavelength, single wavelength bidirectional transmission combines the advantages of fiber saving and transceiver normalization. This is beneficial for reducing the CAPEX and OPEX of networks, and can also improve the time synchronization accuracy of mobile CRAN networks. However, the performance of single wavelength bidirectional transmission is invariably sensitive to backward reflected emission light. Frequency shifting and digital signal processing are typical approaches to eliminate this penalty, but it leads to higher cost and power consumption. In this paper, we first apply a self-tuning architecture and physical layer negotiation in bidirectional transceiver, to allow the transceiver to support two modes. Then a single-fiber bidirectional transmission can be setup by this normalized transceiver as single working wavelength but without performance penalty. Except wavelength, other performances of manufactured 25 G Baud PAM4 self-tuning bidirectional transceiver are compliant with IEEE 802.3cp 40 km ER specification. When the two working mode wavelength interval is 0.4 nm, the latency difference over 40 km is 250 ps, which is on the same order of magnitude as the delay difference in single wavelength bidirectional transmission.

Distinguishing Doors and Floors on All Fours: Landmarks as Tools for Vertical Navigation Learning in Domestic Dogs (Canis familiaris).

Spatial navigation allows animals to understand their environment position and is crucial to survival. An animal's primary mode of spatial navigation (horizontal or vertical) is dependent on how they naturally move in space. Observations of the domestic dog (Canis familiaris) have shown that they, like other terrestrial animals, navigate poorly in vertical space. This deficit is visible in their use of multi-story buildings. To date, no research has been conducted to determine if dogs can learn how to navigate in an anthropogenic vertical environment with the help of a landmark. As such, we herein investigate the effect of the addition of a visual or olfactory landmark on dogs' ability to identify when they are on their home floor. Subject behaviors toward their home door and a contrasting floor door were compared before and after exposure to a landmark outside of their home door. While subjects initially showed no difference in latency to approach an apartment door on their home or a wrong floor, we found a significant difference in latency to approach the doors in the test trials for subjects who approached the doors in every trial. Other findings are equivocal, but this result is consistent with the hypothesis that dogs can learn to navigate in vertical space.

Validation of direct recording of electrically evoked cortical auditory evoked potentials through a cochlear implant system.

Cochlear implants (CI) are one of the most successful treatments available to enable individuals with severe to profound hearing loss to regain access to the world of sound. This is accomplished through the electrical stimulation of the auditory nerve using electrodes implanted inside the cochlea. The use of subjective user feedback makes the process of fitting these devices much more challenging in cases where users are not able to actively or accurately report their experience (e.g. pediatrics), making an objective measurement that reflects the accuracy or effectiveness of a program quite attractive. We recorded one objective measure, the electrically-stimulated cortical auditory evoked potential (eCAEP), non-invasively using the CI in response to a simulated speech sound in seven adult participants and compared it to their eCAEP recorded using a scalp EEG set-up. The eCAEPs recorded with CI electrodes were comparable to scalp recorded eCAEPs (grand mean cross-correlation of r = 0.83, individual mean cross-correlations ranged from 0.13 to 0.70). Evoked potential peaks P1, N1 and P2 showed no significant latency difference based on if the eCAEP was recorded on the scalp or using the CI. The eCAEP waveforms recorded via the CI appear to converge in a distinct P1-N1-P2 waveform by as early as 130 sweeps. In conclusion, in this study we show the feasibility of recording the eCAEP directly through the CI system, which could potentially be used to guide CI fitting and track auditory cortex development in response to CI use.

Biochemical characterization of the human ubiquitous glucose-6-phosphatase in neutrophil granulocytes.

Glucose-6-phosphatase-β (G6PC3) is a ubiquitous phosphatase present in the endoplasmic reticulum, which, unlike G6PC1, is not responsible for maintaining blood glucose level under starvation. Recently, G6PC3 has been shown to play an important role in neutrophil granulocytes, eliminating the toxic metabolite 1,5-anhydroglucitol-6-phosphate. The present study aimed to look for alternative substrates for the enzyme and outline the expression changes in the parts of this multicomponent system during neutrophil granulocyte differentiation. We determined the kinetic characteristics of recombinant human G6PC3 towards different sugar phosphates, and the transport of these compounds was also measured in rat liver microsomes. We found that all investigated sugar phosphates are substrates for G6PC3, although their microsomal transport is much slower than that of glucose-6-phosphate. Using the HL-60 promyelocytic leukemia cell line as an in vitro model system for myeloid differentiation, we found no significant differences in enzyme expression and phosphatase activity latency between undifferentiated and differentiated cells. Our results provide novel insights into the possible role of G6PC3 in the dephosphorylation of alternative sugar phosphates or their metabolites synthesized in the endoplasmic reticulum and confirm the potential feature of the enzyme in the promyelocytic stage as well. These findings contribute to our knowledge of intracellular carbohydrate metabolism of neutrophil granulocytes, which facilitates further research directions to better understand the underlying mechanisms of neutropenias.

ApSpGEMM: Accelerating Large-scale SpGEMM with Heterogeneous Collaboration and Adaptive Panel

The Sparse General Matrix-Matrix multiplication (SpGEMM) is a fundamental component for many applications, such as algebraic multigrid methods (AMG), graphic processing, and deep learning. However, the unbearable latency of computing high-dimensional, large-scale sparse matrix multiplication on GPUs hinders the development of these applications. An effective approach is heterogeneous cores collaborative computing, but this method must address three aspects: (1) irregular non-zero elements lead to load imbalance and irregular memory access, (2) different core computing latency differences reduce computational parallelism, and (3) temporary data transfer between different cores introduces additional latency overhead. In this work, we propose an innovative framework for collaborative large-scale sparse matrix multiplication on CPU-GPU heterogeneous cores, named ApSpGEMM. ApSpGEMM is based on sparsity rules and proposes reordering and splitting algorithms to eliminate the impact of non-zero element distribution features on load and memory access. Then adaptive panels allocation with affinity constraints among cores improves computational parallelism. Finally, carefully arranged asynchronous data transmission and computation balance communication overhead. Compared with state-of-the-art SpGEMM methods, our approach provides excellent absolute performance on matrices with different sparse structures. On heterogeneous cores, the GFlops of large-scale sparse matrix multiplication is improved by 2.25 to 7.21 times.

F-waves responses derived from low-intensity electrical stimulation: A method to explore split-hand pathogenesis

ObjectivesThe “split-hand syndrome” is a common clinical sign in amyotrophic lateral sclerosis (ALS), being characterized by more severe atrophy of the hand muscles on the radial side of the hand compared to the ulnar side. We aimed to investigate possible physiological differences between relevant hand muscles using low-intensity F-wave stimulation to assess spinal motoneuron excitability. MethodsWe recruited 36 healthy volunteers. F-waves were recorded from the abductor pollicis brevis (APB), first dorsal interosseous (FDI) and abductor digiti minimi (ADM), using 20 supramaximal stimuli followed by 20 stimuli at a low-intensity required to obtain M-waves with 10 % amplitude of maximal CMAP. We evaluated the following F-wave parameters: F-M latency, chronodispersion, persistence, amplitude, F/CMAP amplitude ratio and number of F-wave repeaters (with low-intensity). In 10 subjects, low-intensity stimulation F-waves were compared after 20 and 50 stimuli in each muscle. ResultsLow-intensity stimulation resulted in lower F-wave amplitude and persistence and higher F/CMAP amplitude ratios. There were no significant differences in F-wave latencies and chronodispersion. When comparing the three muscles, we found higher F-wave persistence and F/CMAP amplitude ratios when recording over the ADM and APB compared to the FDI. We also found a higher number of F-wave repeaters in the ADM with low-intensity stimulation. Results from 20 to 50 low-intensity stimuli were similar. DiscussionA small number of low-intensity stimuli is appropriate to study F-wave latencies and chronodispersion. We found differences in some physiological properties of the ADM spinal motoneuron pool compared to other hand muscles.

Electrophysiological Signal Validation of Regenerative Peripheral Nerve Interface at Nerve Ending: A Preliminary Rat Model Experiment.

As the number of extremity amputations continues to rise, so does the demand for prosthetics. Emphasizing the importance of a nerve interface that effectively amplifies and transmits physiological signals through peripheral nerve surgery is crucial for achieving intuitive control. The regenerative peripheral nerve interface (RPNI) is recognized for its potential to provide this technical support. Through animal experiment, we aimed to confirm the actual occurrence of signal amplification. Rats were divided into three experimental groups: control, common peroneal nerve transection, and RPNI. Nerve surgeries were performed for each group, and electromyography (EMG) and nerve conduction studies (NCS) were conducted at the initial surgery, as well as at 2, 4, and 8 weeks postoperatively. All implemented RPNIs exhibited viability and displayed adequate vascularity with the proper color. Clear differences in latency and amplitude were observed before and after 8 weeks of surgery in all groups (p < 0.05). Notably, the RPNI group demonstrated a significantly increased amplitude compared with the control group after 8 weeks (p = 0.031). Latency increased in all groups 8 weeks after surgery. The RPNI group exhibited relatively clear signs of denervation with abnormal spontaneous activities (ASAs) during EMG. This study is one of few preclinical studies that demonstrate the electrophysiological effects of RPNI and validate the neural signals. It serves as a foundational step for future research in human-machine interaction and nerve interfaces.

Sensitivity and specificity of electrodiagnostic parameters in diagnosing carpal tunnel syndrome.

The sensitivity and specificity of electrodiagnostic parameters in diagnosing carpal tunnel syndrome (CTS) have been reported differently, and this study aims to address this gap. This case-control study was conducted on 57 cases with CTS and 58 controls without complaints, such as pain or paresthesia on the median nerve. The main assessed electrodiagnostic parameters were terminal latency index (TLI), residual latency (RL), median ulnar F-wave latency difference (FdifMU), and median sensory latency-ulnar motor latency difference (MSUMLD). The mean age in cases and controls were 50.7 years (SD 9.9) and 47.9 years (SD 12.1), respectively. The CTS severity was mild in 20 patients (34.4%), moderate in 19 patients (32.8%), and severe in 19 patients (32.8%). The sensitivity and specificity of the electrodiagnostic parameters in diagnosing CTS were as follows: TLI 75.4% and 87.8%; RL 85.9% and 82.5%; FdifMU 87.9% and 82.9%; and MSUMLD 94.8% and 60.0%, respectively. Our findings indicated that electrodiagnostic parameters are significantly associated with the clinical manifestation of CTS, and are associated with high diagnostic accuracy in CTS diagnosis. However, further studies are required to highlight the role of electrodiagnostic parameters and their combination in CTS detection.

Gender differences in sleep latency between low and high hopelessness individuals

Gender differences in sleep latency between low and high hopelessness individuals

The early visual processing of faces in a basic classification task: An ERP study of spatial frequency, other-race and other species effect

ABSTRACT This study investigates the neural processing of other-race and other-species faces, using spatial frequencies (SFs) to probe into early visual processing mechanisms. We conducted a basic classification task to reveal fundamental aspects of facial processing without the complexity of higher-order recognition tasks. This approach utilized SFs set at low (LSF, 0.53 cycles per degree [cpd]), broadband (BB), and high (HSF, 2.1 cpd) SFs to examine their impact on the both P100 and N170 components of event-related potentials. Our findings revealed a significant latency difference in the N170 component under HSF conditions, indicating race-specific efficiency in processing fine details between Asian and Caucasian faces. Furthermore, N170 amplitudes were consistently larger for human than monkey faces, with this difference more pronounced in LSF and BB conditions. This finding indicates that the other-species effect in early visual processing is more pronounced in holistic processing (LSF and BB conditions) rather than in fine-detail processing.

Exploring the optimal plateau durations of tone burst to elicit masseteric vestibular evoked myogenic potentials: a within-subjects study

ObjectiveThe purpose of the present study was to explore the effect of plateau duration in eliciting masseter vestibular evoked myogenic potentials (mVEMPs) in healthy individuals with hearing sensitivity ≤ 15dBHL.MethodA within-subjects design was utilized in the study. Therefore, ipsilateral tone burst evoked mVEMPs were obtained from 30 healthy individuals using the zygomatic montage at 500 Hz tone bursts. Self-monitoring biofeedback was given during the procedure to confirm the tension of the masseter muscle. mVEMPs were recorded across three different plateau duration from 0 to 2 ms with rise/fall time of 2 ms at 95dBnHL. Hence the median and interquartile range were calculated for descriptive analysis of the data followed by non-parametric inferential statistics.ResultsTone burst evoked mVEMPs were found to be 100% present across all three plateau durations for both ears at 95 dBnHL. P11 and N21 latencies increased with longer plateau durations in both ears. There were no significant differences in P11-N21 peak-to-peak amplitude or interaural amplitude ratio (IAAR) observed across different plateau durations. IAAR was lowest for a 2 ms plateau duration in the 2–2-2 cycle. No significant variations were found across the three plateau durations.ConclusionSignificant differences in P11 and N21 latencies were observed across the three stimulus cycles, while no significant differences were found for P11N21 amplitude and IAAR. Yet, there was found to have the highest amplitude and lowest IAAR for 2–2-2 cycle than 2–0-2 and 2–1-2, suggesting it to be the optimal stimulus among the three of them.

Optimization of the Operant Silent Gap-in-Noise Detection Paradigm in Humans.

In the auditory domain, temporal resolution is the ability to respond to rapid changes in the envelope of a sound over time. Silent gap-in-noise detection tests assess temporal resolution. Whether temporal resolution is impaired in tinnitus and whether those tests are useful for identifying the condition is still debated. We have revisited these questions by assessing the silent gap-in-noise detection performance of human participants. Participants were seventy-one young adults with normal hearing, separated into preliminary, tinnitus and matched-control groups. A preliminary group (n = 18) was used to optimise the silent gap-in-noise detection two-alternative forced-choice paradigm by examining the effect of the position and the salience of the gap. Temporal resolution was tested in case-control observational study of tinnitus (n = 20) and matched-control (n = 33) groups using the previously optimized silent gap-in-noise behavioral paradigm. These two groups were also tested using silent gap prepulse inhibition of the auditory startle reflex (GPIAS) and Auditory Brain Responses (ABRs). In the preliminary group, reducing the predictability and saliency of the silent gap increased detection thresholds and reduced gap detection sensitivity (slope of the psychometric function). In the case-control study, tinnitus participants had higher gap detection thresholds than controls for narrowband noise stimuli centred at 2 and 8 kHz, with no differences in GPIAS or ABRs. In addition, ABR data showed latency differences across the different tinnitus subgroups stratified by subject severity. Operant silent gap-in-noise detection is impaired in tinnitus when the paradigm is optimized to reduce the predictability and saliency of the silent gap and to avoid the ceiling effect. Our behavioral paradigm can distinguish tinnitus and control groups suggesting that temporal resolution is impaired in tinnitus. However, in young adults with normal hearing, the paradigm is unable to objectively identify tinnitus at the individual level. The GPIAS paradigm was unable to differentiate the tinnitus and control groups, suggesting that operant, as opposed to reflexive, silent gap-in-noise detection is a more sensitive measure for objectively identifying tinnitus.

Evaluation of the efficacy of low-level laser therapy in the treatment of ulnar neuropathy at the elbow in terms of symptoms and clinical and electrophysiological findings: a randomized, prospective, double-blind clinical trial.

Ulnar neuropathy at the elbow (UNE) is the second most common entrapment neuropathy and presents with symptoms such as pain, paresthesia, and weakness in the elbow. Provocative tests and electrophysiological examinations are helpful in the diagnosis of UNE. Low-level laser therapy is one of the conservative treatments of UNE however, limited results were reported on the effectiveness of low-level laser therapy (LLLT) in the treatment of UNE. In our study, we aimed to the efficacy of LLLT in reducing symptoms and providing clinical and electrophysiological improvement in patients with UNE. This study with a randomized-sham controlled, and double-blind design included 68 patients aged 18-60 years who were diagnosed with UNE. LLLT was applied to the first group, and sham laser was applied to the second group. The VAS pain, paresthesia, and weakness scores, grip strength, and provocative test positivity were evaluated in clinical examination. The QuickDASH questionnaire was administered to assess functional status. Electrophysiologically, motor distal latency (MDL) differences, sensory distal latency (SDL), motor and sensory nerve conduction velocity (NCV) were examined. Evaluations were performed before treatment and on the 15th day and at the third month after treatment. The LLLT group showed improvement in symptoms, clinical findings, motor NCV, and MDL at both post-treatment evaluations and sensory NCV on the post-treatment 15th day (p < 0.05). The comparison of post-treatment changes between the two groups revealed that the LLLT group had greater improvement in VAS day and night pain scores at both post-treatment evaluation times, QuickDASH scores at the third month, and sensory NCV on the 15th day (p < 0.05) compared to the SL group. There were no significant differences between the groups in terms of the post-treatment changes in VAS weakness scores, grip strength and electrophysiological findings (p > 0.05). It was observed that splinting alone was effective in UNE, but the addition of LLLT, one of the conservative treatment methods, enhanced treatment outcomes.

Systematic review/meta-analysis on the role of CB1R regulation in sleep-wake cycle in rats.

A systematic review/meta-analysis was conducted to investigate the effect of cannabinoid type-1 receptor (CB1R) regulation on the sleep-wake cycle of rats and to provide new ideas and evidence-based basis for clinical research on the treatment of sleep disorders. We searched Cochrane Library, PubMed, Web of Science, Embase, Chinese Biomedicine Literature Database (CBM), China National Knowledge Infrastructure, WanFang, and VIP databases for relevant papers, about the effects of CB1R agonists/antagonists on sleep-wake cycle in rats, from inception to November 2023. Two reviewers performed study screening, data extraction, and risk of bias assessment using the SYRCLE's risk of bias tool. Meta-analysis was performed using RevMan 5.3 software. Heterogeneity test was performed on the included studies (Test standard α=0.1). I2 value was used to evaluate the heterogeneity. Forest plot was drawn, and p ≤ 0.05 indicates statistically significant difference. A total of 16 trials involving 484 experimental rats were included. The methodological quality evaluation results showed that the overall quality of the included studies was low. The results of the meta-analysis showed that single administration of CB1R agonists could shorten the wakefulness (W) time in the first 6h (h) (standardized mean difference (SMD)=-2.52, 95% confidence interval (CI) (-3.83, -1.22), p=0.0002) and 24h (SMD=-0.84, 95% CI (-1.31, -0.36), p=0.0005) after administration, prolong nonrapid eye movement sleep (NREM) time (SMD=1.75, 95% CI (0.54, 2.95), p=0.005) and rapid eye movement sleep (REM) time (SMD=1.76, 95% CI (0.26, 3.26), p=0.02), and increase REM frequency after administration (SMD=1.67, 95% CI (0.98, 2.35), p<0.00001), these results were all statistically different. There were no significant differences in sleep latency and average duration of REM. Single administration of CB1R antagonists prolonged the first 6h W time after administration (SMD=1.36, 95%CI (0.29, 2.43), p=0.01), shortened the first 6h NREM time (SMD=-1.73, 95% CI (-2.88, -0.57), p=0.003) and REM time (SMD=-2.07, 95% CI (-3.17, -0.96), p=0.0003) after administration, and increased the frequency of W after administration (SMD=3.57, 95% CI (1.42, 5.72), p=0.001). There was no statistical difference in the average duration of W. REM time and REM frequency increased after continuous CB1R agonist withdrawal. According to the existing evidence, CB1R played a pivotal role in regulating the sleep-wake cycle in rats. CB1R agonists tended to reduce W time, increase NREM and REM sleep times, boost REM frequency, and promote sleep. Conversely, CB1R antagonists could increase the duration and frequency of W, shorten NREM and REM sleep times, and promote W.

Evaluation of the impact of a digital care navigator on increasing patient registration with digital mental health interventions in routine care

BackgroundLess than half of adults with mental health disorders in the United States receive appropriate or timely care. Digital Mental Health Interventions (DMHIs) have the potential to bridge this gap. However, real-world adoption of DMHIs is impeded by patient and provider-level technological barriers. Care navigators have the potential to address these challenges by providing technical support and enhancing patients' experience with DMHIs. ObjectiveThis study explores the effect of a digital care navigator (DCN) on patient registration latency and rates of DMHIs implemented as part of a digital-first behavioral health care model integrated within routine care at a large multispecialty group medical practice. MethodsData were collected from electronic medical records and DMHI registration data were obtained from the DMHI vendors. Descriptive statistics were used to describe the DCN's efforts to help patients register with their DMHIs. Moods median tests evaluated differences in registration latency and weekly registration rate pre- and post- DCN implementation. Change in registration likelihood as a function of DCN outreach latency was investigated using a Kaplan-Meier plot. ResultsDuring the first eight months, the DCN made 1306 phone calls to 680 unique patients, successfully connecting with 66 %. DCN implementation also increased the median registration rate from 61.9 % to 76.9 %. Results showed that the expediency by which the DCN outreached patients directly impacted registration rate such that of those who were outreached by the DCN on the day of their referral to a DMHI, 96.86 % registered. This number was reduced to 76.15 % if the DCN reached them 1-day following referral, and 41.39 % 5-days after their referral. ConclusionsUse of a DCN shows promise for enhancing patient registration rates with DMHIs in routine healthcare settings.

Saccadic Latency Differences Between C-Section and Vaginally-Delivered Infants and Adults in a Visual Search Task

Saccadic Latency Differences Between C-Section and Vaginally-Delivered Infants and Adults in a Visual Search Task

The value of electrophysiological testing in the adjunctive diagnosis of premature ejaculation.

Although the four-class system of classifying premature ejaculation (PE), including lifelong PE (LPE), acquired PE (APE), natural variable PE (NPE), and subjective PE (SPE), has existed for many years, objective classification standards in clinical practice are lacking. In this study, we sought to investigate the use of electrophysiologic parameters to assist in the classification of PE, thereby guiding subsequent treatment. From July 2023 to April 2024, 187 study participants were enrolled. For each participant, the biological sensory threshold (BST), penile sympathetic skin response (PSSR), and dorsal nerve somatosensory evoked potential (DNSEP) were recorded. The differences in the PSSR latencies (PL) and DNSEP latencies (DL), the PSSR amplitudes (PA) and DNSEP amplitudes (DA), and the BST were compared among the LPE, APE, SPE, NPE, and healthy control (HC) groups. The participants were divided into the LPE (46 cases), APE (53 cases), SPE (20 cases), NPE (33 cases), and HC (35 cases) groups. The results showed shorter latencies of the PSSR (PL) and DNSEP (DL), larger amplitudes of the PSSR (PA) and DNSEP (DL), and smaller BST in the LPE group than in the NPE, SPE, APE, and HC groups (P < .05). In addition, the larger PA and shorter PL in the APE group than in the NPE and HC groups (P < .05). However, the electrophysiological parameters were not significantly different among the NPE, SPE, and HC groups (P > .05). In addition, PL <1262.0milliseconds and DL <41.85 milliseconds were strong predictors of LPE, 1262.0milliseconds < PL <1430.0milliseconds was a predictor of APE, and PL >1430.0milliseconds suggested possible SPE or NPE. Analysis of the electrophysiological parameters of PE may be helpful for classification and treatment. No previous study, to our knowledge, has analyzed the electrophysiological parameters of the four types of PE. The main limitation is the small sample size. APE is characterized by increased sympathetic excitability, whereas LPE is characterized by increased penile sensitivity and increased sympathetic excitability. However, penile sensitivity and sympathetic excitability in SPE and NPE patients may not differ significantly from normal.

Decoding Age-Linked Masseter Vestibular Evoked Myogenic Potential Changes in Healthy, Aging Individuals.

The primary objective of this study was to assess how age influences masseter vestibular evoked myogenic potential (mVEMP) parameters by utilizing 500-Hz tone burst stimuli delivered through air conduction. The study involved 110 participants ranging from 15 to 60 years of age, grouped into five categories, all of whom had no previous issues related to their vestibular system. The participants were exposed to 500-Hz tone burst stimuli at 125 dB SPL through ER-3A inserts. These stimuli were presented to one ear at a time, with alternating polarity. A Tukey's honestly significant difference test was conducted to compare rectified and unrectified amplitude, along with latencies (P11 and N21) and the asymmetric ratio across all age groups. Additionally, a multivariate analysis of variance was performed to assess the impact of sex on the study variables. All 110 participants (220 ears) in the study provided mVEMP responses, encompassing 100% of the subjects. The results revealed a significant reduction in both amplitude and latency extension for the P11 and N21 peaks. Interestingly, P11 latency was also prolonged in the youngest participants (Group 1), suggesting ongoing maturation of the system even beyond the age of 16 years. Moreover, a significant sex difference was observed in the P11 latencies. However, there were no substantial sex differences (p > .05) in N1 peak latency, peak-to-peak amplitude, rectified amplitude, and asymmetric ratio. Changes in structure occur due to degeneration, and the quantity of vestibular sensory hair cells gradually diminishes with age. The rate of decline is faster in semicircular canals compared to end organs, as observed by Merchant et al. (2000). Following a linear degeneration starting at the age of 40 years, a continuous reduction in sensory cells and primary neurons takes place until approximately 40% of vestibular sensory cells are lost by the age of 75 years and insufficient maturation can lead to prolonged peaks and reduced amplitudes compared with those that are considered normal. Therefore, it is crucial to consider the age of the participants when making diagnoses and incorporate relevant correction factors based on age-related reference data.